Council archive · source document
NC extension form signed · 152006.862.02
Attached to the e-mail 152006.0862.02 - Request Extension to Relevant Period..
Request to Change Existing Approval and/or
Extension to Relevant Period
20145
Sustainable Planning Act 2009
ALL questions MUST be completed unless the form indicates otherwise.
This form must be submitted to Council accompanied by the applicable fee.
Attach extra pages if there is insufficient space on the form.
\f Council was the Assessment Manager for the existing approval, and the approval was issued by the Court, then:-
(a) a request to change the development approval and/or conditions is made to the Court; and
(b) a request to extend the relevant period for the approval is made to Council.
All terms used on the form have the meaning given in the Sustainable Planning Act 2009 or the Sustainable Planning Regulation
2009.
1. Details of person. making the request
Full name — individual or company Mr Joe Franz
Contact Name ~ for company CI Martoo Consulting
Postal address PO Box 1684
Suburb - Noosa Heads State ald Postcode 4567
Business phone AIH phone 5447 2550 “Mobile
Email address [email protected] Fax 5455 3322
2. Details of existing approval
Type of approval (please tick ALL applicable categories) Which entity issued approval?
- Development Permit Council
Preliminary Approval 0 Other entity — please specify
© Comptiance Permit
{2 Material Change of Use
Reconfiguring a Lot
Operational Works
Building Works
Plumbing or Drainage Works
Compliance Certificate
Environmentally Retevant Activity
Application number/council reference 2006/862 Date issued 17th May 2010
Js the approval for a mobile and temporary ERA? of No Qa Yes — complete below
Insert the name of each local government area in which the mobile and temporary ERA is proposed to operate/operating
npaonada
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Council will use any personal information provided for the intended purpose only and for remaining in contact with you. Council is authorised to collect
this information in accordance with the Local Gavernment Act 2009 and other Locat Government Acts. Your personal information is only accessed by
persons authorised to do so. Your personal! information is dealt with in accordance with council's privacy policy.
www.noosa.ald.gov.au [email protected] T 07 5329 6500
PO Box.144 Tewantin Qid 4565 ABN 97 969 214 121
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[OCR of page images]
APR Lec cia (eae eae Ga ica categories}
{1 To change the development ci To change the development cr To extend the relevant period
approval conditions before lapsing
Please attach documentation outlining the detail of and the reasons and justification for the requested change or
extension.
4.. Location ofthe premises
Unit No. Street No 1270 Street | McKinnon Drive
Suburb —_ Ringtail Creek State Ald Postcode 4565
5. Concurrence Agencies
Was there one or more concurrence agencies involved in the original approval? ii No
0 Yes-provide details below
Note ~ Under $372 of the Sustainable Planning Act 2009 the person making the request i is required to give a copy of this request to all
concurrence agencies.
GoricurrenceAgency.
_ Department of Natural Resources 24.04. 2014
24.04.2014
Environmental Protection Agency (DERM)
DP! & Fisheries 24.04.2014
6. Pre-request response notice
Has a pre-request response been given by a relevant entity (e.g. a concurrence agency) for this request?
ho : : 1 Yes . ve
If yes, please attach a copy of the notice.
WemOl lacie melt lane
Is the owner's consent required for this request? O No ;
Wres- complete either Table A or Table B below
Note ~ If more than one owner of the land all owners’ details are required
bedey OUR oT is provided Colt old aes Be Ue consent provided on'form:
Ora w ? fA. “a he AA Owner's name/s
\We, the above-mentioned owner/s of the land, consent (i The owner's written consent is attached.
to the making of this request.
Date a3 /4 [20/4
Owner's name/s
Signature/s
Page 2 of 4
Page 3
eae eles Be . Core Application no. Amount paid Date paid Receipt no. Initial Date stamp Receiving Officer in person By mail Gens eee ee 9 Pelican Street, Tewantin: 8.30 am to 4.30 pm Monday to Friday (excludes public holidays). Cheque or money order to be made payable to Noosa Council. Cheque 1 Money order Q Mastercard Oi Visa Card number Expiry date Amount $ Name on card Signature of cardholder Phone is a receipt required? Mes O No
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NC extension form signed.pdfRelated documentApplication case desk ↗
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